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Denials, Appeals & Adjustments

#1 Resource For Denial Code Secrets! Step by Step Guide Teaches You How to Quickly & Easily Handle Each Denial & Take it to its Final Completion…

Buy Now Denials, Appeals & Adjustments
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Ebook: $35

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  • Introduction
  • What's Inside
  • Topics Covered
  • Enroll Today
  • FAQ's
  • Testimonials

If you’ve ever gotten a denial for a medical insurance claim that you don’t know how to handle, this is the answer you’ve been waiting for!

This book explains many denial codes and is a step-by-step guide as to how to handle each denial to take it to its final completion. We explain when an appeal is necessary and how to file one. We make it very clear when to file an adjustment to a claim and how this differs from an appeal. Included in this 100-page ebook are appeal and adjustment forms you can use in your office to file your appeals. We also instruct you on how to write a formal appeal letter with examples.

What you'll discover inside

A Step-by-Step Guide on How to Handle Each Denial!
How to Write a Formal Appeal Letter INCLUDING Examples!
Learn the EXACT Time to File an Adjustment to a Claim! Get this one thing wrong & you could mess everything up!
The Forms You’ll Need to File Your Adjustments & Appeals!

Topics Covered

Deductibles – Often Mistaken for Denials
What are Appeals & Who to Appeal to
Ammunition for an Appeal
How to Write a Formal Appeal
Adjustments
Electronic Denials
Common Denials & How to Handle Them
How to Handle a Corrected Claim Received Outside Timely Filing Period
Submitting a Claim to Other Carrier
How to Cut Down on Denials

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Frequently Asked Questions

Why take our courses?

Our courses were written and are updated regularly by a mother/daughter team who started their own medical billing business in 1994 and have not only grown it to multiple locations with many employees but have helped many others do the same.

How is your course different from other medical billing courses?

Our course is different in a variety of ways, the first being that it was developed and written by the owners of a medical billing service who work daily in their office and are fully aware of all the necessary information required to succeed in this field. Additionally, our FREE support is bar none, meaning our students will have access to a very experienced instructor with several years of experience in medical billing. We also teach the students “practice management’ which is vital to understanding the revenue stream of healthcare providers. Our course will be updated to accommodate a very demanding industry with constant changes.

How long does it take to complete the course?

All students will get to work at their own pace, so completion time frames will vary according to each student. An aggressive, committed, and quick learner can complete the course in as little as four weeks (we have seen quicker than four weeks), while the average time frame for a person learning part time will be closer to three months.

Do you have a payment plan?

Yes, we do offer a monthly payment plan through PayPal called Bill Me Later. No interest is charged if paid in full within 6 months. PayPal Credit terms apply.

What type of support is available?

We offer individualized support from the owners and authors by phone or email.

Do I need to learn medical coding?

While it is necessary to understand coding, it is definitely not necessary to take a comprehensive coding course. Our course in coding offers exactly what a medical biller needs to know without learning complicated coding issues necessary for a person who wants to become a certified medical coder. Our coding course covers ICD-10, CPT, HCPCS, modifiers, place of service codes, E&M coding as well as bundling and unbundling.

Can I do medical billing from home?

Some facilities do offer remote billing opportunities.  If you are looking for medical billing as business to start, you can definitely work from home

Testimonials

What our students have to say...

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God Bless You for the services you give us. The books, the blog, the newsletter; I picked the best time to go into this business for myself and now I can benefit from your wisdom and experience. Thank You!

★★★★★ 5/5
Tamera in Columbia, Ca

I have received your book on how to start a medical billing business. Thanks so much! It’s absolutely awesome! It really helped me out quite a bit. The book is exactly what a person needs to help them get acquainted with the beginnings of this type of business. I would be lost without your book. I hope to be signing up a few providers soon!

★★★★★ 5/5
Diana S.

Just read Pricing Your Medical Billing Service – Great job loved it! This book is a great help for both the established medical billing service, and those just getting into the business. We can really relate to your experiences with patient billing copay misunderstandings, and some of the stories and antidotes really hit home! For example, when we started out – being to cheap and attracting cheap providers and not having the confidence to charge our worth. Also the story on patient billing and charging on CoPays – we lost a client over this issue also. We’ve had a few submissions to the website asking for advice on pricing, so we look forward to adding to our book page. Again great job! Contributing makes me feel like I’m being useful to the planet.

★★★★★ 5/5
Conrad & Gina Wysor

As the president of the Professional Medical Billers Association, not only do I whole-heartedly recommend and stand behind Alice and Michele’s books, we use the ‘How to Complete a UB-04 form’ e-book as the primary learning source for our ‘Facility Billing 101’ course! These books are authored by leaders and experts in the field and prove to be resources you will refer to time and time again!

★★★★★ 5/5
Michelle M. Rimmer

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Empowering Your Future in Medical Billing. With decades of expertise and a passion for education, we’re here to guide you through every step of your learning journey.

Contact Info

Address
1335 Neelys Creek Road
Rock Hill, SC  29730

8251 New Floyd Rd Rome, NY 13440

Phone
315-207-4222
Email
[email protected]

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